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Organization
SANTIAM FOOT CLINIC, PC
Active
Organization
SANTIAM FOOT CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN THOMAS CALLAHAN DPM (PODIATRIC PHYSICIAN AND SURGEON)
(503) 581-2505
Entity
Organization
Contact information
Practice address
2235 MISSION ST SE STE 150, SALEM, OR 97302-1294
(503) 581-2505
(503) 581-2515
Mailing address
2235 MISSION ST SE STE 150, SALEM, OR 97302-1294
(503) 581-2505
(503) 581-2515
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00297
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138101
—
OR
Enumeration date
11/04/2009
Last updated
05/26/2010
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